NUR 170 EXAM 1 /NUR170 Exam 1 Actual
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How are theories developed? - ANSWER-a nurse has an idea to explore
through research and logical reasoning. (inductive and deductive
reasoning)
essential concepts of a nursing theory - ANSWER-person, environment,
health, and nursing
nursing theories - ANSWER-describe, explain, and predict human
behavior used in practice, education, and research.
What is the nursing process - ANSWER-a systematic problem-solving
process that guides all nursing.
purpose: to help the nurse provide goal-directed CLIENT-CENTERED
CARE.
What are the phases of the nursing process - ANSWER-assessment,
diagnosis, planning, implementation, and evaluation (ADPIE)
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assessment - ANSWER-systematic gathering of information related to
physical, mental, spiritual, socioeconomic, and cultural status of an
individual, group, or community.
difference between nursing assessment and medical assessment? -
ANSWER-medical- focus on disease and pathology
nursing- focus on clients responses to illness
Documenting Data - ANSWER-do it as soon as possible, write legibly
without acronyms, avoid using inferences, use the clients own words,
only document important/relevant data.
Diagnosing - ANSWER-using critical thinking skills to identify patterns
in the data and draw conclusions about the clients health status.
includes strengths, problems, and factors contributing to the problems.
medical/nursing diagnosis - ANSWER-medical- describes a disease,
illness, or injury.
nursing- a statement of client health status that nurses can identify,
prevent, or treat independently.
initial palnning - ANSWER-begins with first client contact, written as
soon as possible after initial assessment, and starts the development of
the initial comprehensive care plan.
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ongoing planning - ANSWER-changes made in the plans as you
evaluate the clients responses to the care.
goals/outcomes - ANSWER-goals: describe the changes in health status
that you hope to achieve.
outcomes: those than can be influenced by nursing interventions.
Goals - ANSWER-long-term: to be achieved over a longer period of
time (week, month, or more).
short-term: to be achieved within a few hours.
components of a goal statement - ANSWER-subject, action,
performance criteria, target time, special conditions
essential goals - ANSWER-derive from the problem
non-essential goals - ANSWER-derive from the etiology(cause of
disease)
nursing interventions - ANSWER-purpose: to achieve client outcomes.
also called: nursing actions, measures, strategies, and activities.
based on clinical judgement and knowledge.
reflect direct and indirect care.